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12 Resources for

blue cross blue shield and enterprise software

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BNET Dispatch: March 14, 2007
The lightbulb as we know it may be gone from store shelves by 2016.  A coalition of energy specialists, environmentalists and lighting manufacturers (including the largest, Philips Lighting) announced their intention to eliminate completely the incandescent light bulb and replace it with more efficient alternatives.  GE, however, is not part...
Tags: Wellpoint, Data Management, Storage, Databases, Hardware, Enterprise Software, Software, Andrew Hines, General Motors Corp., Blue Cross Blue Shield
Blog posts 2007-03-14
Prescription Drugs: Price Trends for Frequently Used Brand and Generic Drugs From 2000 Through 2004
Prescription drug spending has been the fastest growing segment of national health expenditures. As the federal government assumes greater financial responsibility for prescription drug expenditures with the introduction of Medicare part D, federal policymakers are increasingly concerned about prescription drug prices. The report examines the change in retail prices and...
Tags: Vertical Industries, Benefits, Enterprise Software, Software, Human Resources, Prescription, Beneficiary, General Accounting Office, Health Care, Prescription Drug, Medicare, Brand, Blue Cross Blue Shield, Healthcare
White papers 2005-08-01
The Impact of Blue Cross Conversions on Health Spending and the Uninsured
Using statewide data on health spending and uninsurance rates, this paper investigates the impact of Blue Cross conversions on health care costs and coverage. It finds mixed results, with some conversion states improving their performance on either or both measures relative to the national average and others experiencing a decline....
Tags: Healthcare, Human Resources, Benefits, Software, Enterprise Software, Vertical Industries, Conversion, Health Care, Project HOPE, Blue Cross Blue Shield
White papers 2005-04-01
Nonprofit Health Insurers: The Financial Story Wall Street Doesn't Tell
The tradition of health insurance coverage from community-based nonprofit organizations1 has been around for decades. The recent wave of highly publicized initial public offerings of health insurers, including a number of Blue Cross and Blue Shield Plans, has led some to speculate that the nonprofit health insurer is an endangered...
Tags: Vertical Industries, Benefits, Wall, Health Care, Insurance Company, Financial, Blue Cross Blue Shield, Insurance, Healthcare, Human Resources, Enterprise Software, Software, Business Operations, Corporate Insurance
White papers 2004-01-12
Blue Cross and Blue Shield of Kansas City Becomes Seventh Health Plan to Select TriZetto's CareAdvance Enterprise Software
NEWPORT BEACH, Calif. -- The TriZetto Group Inc. (NASDAQ: TZIX) announced that Blue Cross and Blue Shield of Kansas City has become the seventh major health plan to select TriZetto's CareAdvanceTM Enterprise software to automate its case, disease and population management programs. The CareAdvance solution, which TriZetto introduced in May...
Tags: Blue Cross Blue Shield, enterprise software, health care, software
Research articles 2005-12-08
Blue Shield of California Case Study
Blue Shield of California BSC originally planned to perform all Healthcare Insurance Portability and Accountability Act HIPAA compliance work using in-house resources. Integrating its new processing platform with back-end systems proved more complicated than it originally expected. A unique partnership with EDS helped ensure the organization met its deadlines. Enacted...
Tags: Electronic Data Systems Corp., Blue Cross Blue Shield, Hipaa, Health Care, Regulatory Compliance, Vertical Industries, Benefits, Healthcare, Balanced Scorecard, Regulations, Government, Human Resources, Policies And Procedures, Enterprise Software, Software, Marketing, Marketing Research
Case studies
Sage Software Case Study: BlueCross BlueShield of Tennessee
Salespeople at BlueCross BlueShield of Tennessee BCBST needed to replace a homegrown contact manager with a full-featured CRM solution that: could be tailored to meet changing business needs; was affordable; salespeople would use. A Sage CRM SalesLogix system was designed to meet current needs, as well as update and improve...
Tags: Blue Cross Blue Shield, Tennessee, Sage Software, Customer Relationship Management (CRM), Operational Planning, Sales Strategy, Team Management, Enterprise Software, Advertising & Promotion, Software, Business Operations, Sales, Management, Marketing
Case studies
Why the Blues Have the Blues
Blue Cross Blue Shield plans are suffering along with the rest of the healthcare industry. According to a study by Sherlock, a health-plan consulting firm, the Blues saw operating income drop 18 percent in 2007, despite a 7.4 rise in revenue. That parallels the experience of other major insurers such...
Tags: Blue Cross Blue Shield, Health Care, Insurance, Financial Planning, Vertical Industries, Benefits, Healthcare, Business Operations, Corporate Insurance, Finance, Enterprise Software, Software, Human Resources, David P. Hamilton
Blog posts 2008-06-23
How Health Plans Stack Up, Dollar- and Membership-Wise
Since American Medical News was kind enough to compile the data subscription required, I thought I'd offer up this quick pair of tables on the nation's largest nonprofit and for-profit health insurers. These accompanied an article about the proposed merger of the Blues plans Highmark and Independence Blue Cross, and...
Tags: Blue Cross Blue Shield, Insurance Company, Health Care, Kaiser Permanente, Vertical Industries, Benefits, Healthcare, Insurance, Enterprise Software, Software, Human Resources, Business Operations, Corporate Insurance, David P. Hamilton
Blog posts 2008-08-26
The Blues Still Have the Blues
Times just aren't getting any better for nonprofit Blue Cross and Blue Shield health plans. Not only has operating income hit the skids, but pressures to merge or convert to for-profit status keep rising. by David P. Hamilton
Tags: Blue Cross Blue Shield, Humana Inc., Insurance Company, Health Care, Nonprofits, Vertical Industries, Benefits, Healthcare, Insurance, Enterprise Software, Software, Human Resources, Business Operations, Corporate Insurance, David P. Hamilton
Blog posts 2008-08-26
Healthcare Roundup: Anthem Blue Cross Sued, Hospitals Slow Expansions, GM Cuts Healthcare, and More
Anthem Blue Cross sued for rescission-settlement efforts -- Los AngelesĀ  City Attorney Rocky Delgadillo sued the health-insurance company, a unit of WellPoint, charging that it illegally sought to reach settlements with policyholders by offering them $1,000 in exchange for dropping all legal claims. Anthem and several other health plans recently...
Tags: Boston Scientific Corp., Blue Cross Blue Shield, Patient, Hospital, Health Care, General Motors Corp., Healthcare, Vertical Industries, Benefits, Enterprise Software, Software, Human Resources, David P. Hamilton
Blog posts 2008-10-15
New Blues VC Fund Aims to Improve Healthcare
BlueCross BlueShield Venture Partners, a new venture-capital arm of several Blue Cross and Blue Shield managed-care organizations, has made its first investment, funneling $5 million into Initiate Systems, which provides a key application for health information exchange. Eleven Blues plans formed the VC fund with the help...
Tags: Blue Cross Blue Shield, Venture-capital Fund, Patient, Health Care, Vertical Industries, Venture Capital, Benefits, Healthcare, Enterprise Software, Software, Finance, Financing Startups, Human Resources, Ken Terry
Blog posts 2008-11-10

Additional Resources

TriZetto Teams with Eliza Corporation to Enhance Payers' Health Communications with Members
Eliza's Phone-Based, Speech-Enabled Outreach Integrated With TriZetto's CareAdvance Enterprise([R]) NEWPORT BEACH, Calif. -- The TriZetto Group Inc. (NASDAQ: TZIX) today announced its selection of Eliza Corporation's phone-based, speech-enabled outreach programs as an integrated part of TriZetto's CareAdvance Enterprise([R]) care management application and Healthwise([R]) Smart Campaigns....
Articles 2008-07-08
Benefitfocus Media™ Creates Video as a Service for Healthcare Industry
Blue Cross and Blue Shield of Kansas City and Bon Secours Health System Use Video as a Service to Empower Healthcare Consumers and Improve Satisfaction CHARLESTON, S.C. -- Benefitfocus Media today announced Video as a Service VaaS, a new healthcare communication service that educates and...
Articles 2008-07-02
Two BlueCross BlueShield Plans Select TriZetto's Software to Determine Patient Liability and Adjudicate Claims in Real-Time
Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Rhode Island Sign on to Speed Financial Settlement and Improve Cost Transparency NEWPORT BEACH, Calif. -- The TriZetto Group Inc. (NASDAQ: TZIX) today announced two new customers for the company's...
Articles 2008-06-24
DataDirect Technologies to Deliver Keynote at Premiere Data Services Event
Standards-Based Data Access Leader to Share Best Practices, Technologies and Patterns for Utilizing Enterprise Data at DataServices World BEDFORD, Mass. & NEW YORK -- DataDirect Technologies, the unparalleled leader in data connectivity and mainframe integration and an operating company of Progress Software Corporation (NASDAQ: PRGS),...
Articles 2008-06-23
Netuitive First to Automatically Correlate Performance Across Physical and Virtual Infrastructures
NetuitiveInc. , the leader in self-learning performance management software for system andbusiness service management BSM, today announced new virtualizationmanagement capabilities in its Netuitive Service Analyzer product.Netuitive Service Analyzer is the industry's first self-learningcorrelation software for managing performance of enterprise applicationsacross mixed physical and virtual environments....
Articles 2008-06-23
Daptiv Positioned in "Leaders" Quadrant for IT Project and Portfolio Management
Daptiv ,the on-demand leader in collaborativebusiness software , today announced that leading research firm Gartner,Inc. has positioned Daptiv in the Leaders Quadrant of the 2008 Gartner Magic Quadrant for IT Project and Portfolio ManagementApplications (1), available here: http://www.daptiv.com/document_library/analysts/Gartner_MQ_2008.pdf . DaptivPPM is an on-demand collaborative project...
Articles 2008-06-18
SAS® for Employer Reporting Reduces Employer Insurance Costs
Web-Based, Self-Service Software is First Step in Initiative to Boost Overall Profitability, Appeal of Health Insurance Plans SAN FRANCISCO -- SAS, the leader in business intelligence, unveiled today its SAS Health Plan Intelligence initiative directed at increasing competitive advantages for health insurers and assisting their...
Articles 2008-06-18
Innovator in Enterprise Collaboration, Daptiv Breaks Traditional Vendor Bounds With First Full-Cycle Process for Customer Participation in Product Innovation
Daptiv , theon-demand leader in collaborative business software, today announced thelaunch of the Daptiv Greenhouse, a forum in which Daptiv users collaboratewith one another and Daptiv on product innovation. The first full-cyclecustomer-vendor collaboration forum, Greenhouse brings true transparency tothe product development process. Daptiv Greenhouse enables users to...
Articles 2008-06-12
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